Get A Second Opinion if You’re Diagnosed With Breast Cancer

Most women probably don’t know that it’s the radiologist and pathologist that make the call whether they have cancer or not. In 2006 the Komen Foundation released a study that estimated that in 90,000 cases, women who receive a diagnosis of noninvasive or invasive breast cancer either did not have the disease or their an error was made that resulted in incorrect treatment. That’s almost 50% of all breast cancer diagnoses! http://ww5.komen.org/uploadedFiles/Content_Binaries/PathologyWhitePaperB2.pdf

Reading breast cancer biopsies is no easy feat. These are just tiny slivers of tissue-like grains of sand. Dr. Shahla Masood, the head of pathology at the University of South Florida, said in an article published recently in the NY Times, “there are studies that show that diagnosing these borderline breast lesions occasionally comes down to the flip of a coin.” (http://www.nytimes.com/2010/07/20/health/20cancer.html?pagewanted=1&_r=1) This is serious stuff, ladies. Heads or tails that leads to unnecessary disfiguring surgery, and life-threatening chemotherapy and radiation. (By the way, gentlemen, as I’ve discussed in many blogs, it’s even worse for prostate cancer diagnosis).

Concerned about the accuracy of breast pathology, the governing board for pathologists, the College of American Pathologists, said it would start a voluntary certification program for pathologists who read breast tissue. Among its requirements is that the pathologists must read 250 breast cases a year.

The take-home message is, don’t rush to the operating room if you’ve been diagnosed with breast cancer (the same message holds true for most other cancers). Be sure you get a second opinion from another pathologist who “reads” or looks at at least 250 cases of breast cancer a year. Ask your doctor for a recommendation. Even if your insurance doesn’t cover it, it will be the best $350 you ever spent! My sister-in-law got a second opinion from one of the world’s most renowned breast cancer pathologists and he disagreed with the first diagnosis which was cancer. Her initial biopsy was misdiagnosed.

So, be smart and get a second opinion, your life may depend on it!

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